Pharmacokinetics
What are the four subcategories of pharmacokinetics?
When caring for a pediatric patient we are instructed to give 500mg/5ml of amoxicillin. What is the most important part of dosing for children?
What is age and body weight in kg?
Explain what parental routes of drug administration are.
The doctor orders a medication P.O. As the nurse you understand this means to administer the medication?
What is by mouth?
A child comes in to the urgent care on Tuesday after being seen yesterday at the dentist. The mother of the child is complaining that the child has developed large, red, raised splotchy areas all over the child's body. She states the child is non consolable and they cannot stop itching themselves. You find out that the child just had amoxicillin for the first time. What symptom is the child experiencing?
What is urticaria?
A. Oral
B. Mucous Membranes
C. IM
D. Transdermal
Name the four times we should be completing medication reconcilliation.
What is discharge, admission, transfer, and outpatient?
You're giving a patient three medications: one swish/swallow, one tablet, and one buccal medication. What order would you give them?
What is tablet, swish/swallow, and buccal.
A patient is ordered to be N.P.O. The nurse will make sure what happens?
Make sure nothing is taken via mouth.
You notice that after giving lisinopril to one of your patients they are experiencing a moderate allergic reaction. What is your first step?
A. Call the provider to switch the meds
B. Assess the patient
C. Throw out all the meds
D. Call a code blue
What is the main organ involved in metabolism? What about excretion?
What is liver? What is kidneys?
You receive an electronic prescription from a physician. The order states to give Aubrey Adams 2mg of Lunesta p.o. prn hs. What is the order missing?
What is "indication"?
You're about to give a medication via NGT. How many mL of water should you flush the tube with beforehand?
A. 10mL
B. 20mL
C. 30mL
D. 40mL
What is C. 30mL?
Explain what this order means: Promethazine 12.5mg IV Q6H PRN N/V.
Your patient has a history of substance use and addiction, however they are complaining about severe pain and state they need "anything to help". What two classes of substances would you avoid giving this patient?
What is Schedule I and Schedule II?
A patient is given both acetaminophen and ibuprofen to alleviate pain. This combination works better for the patient versus when taken separately. What kind of drug interaction has occured?
What is synergist drug interaction?
What are the three most time critical medications?
What is antihypertensives, anti-seizures, or antibiotics?
You're reviewing a medication order. The order states administer Nitroglycerin SL PRN for chest pain. What is the route the Nitroglycerin should be administered?
What is sublingual?
What is missing from this order? Acetaminophen 500mg Q4H PRN mild pain.
What is route.
A student is drawing up insulin for her patient. She starts by pushing air into NPH then pushing air in regular insulin. She then pulls out her desired units of NPH then pulls out her desired units of regular insulin. The nursing student then cleans the area before performing a SQ injection in the abdomen area. What indicates a need for further teaching?
The student pulled NPH insulin first.
What is duration?
You're working in a nursing home and a patient is irritated and refusing to take their medication. The med tech comes to you stating they don't know what to do and cannot make the patient take their medicine. What is your first step?
What is figure out why they don't want to take it?
The patient is ordered to receive a pain medication patch that is applied to the skin. What route is this medication administered?
What is transdermal?
A patient must be given a medication "qd" what does this mean?
What is every day.
What route of medication administration is used mostly on infants?
What is intraosseous?